Erica R Appleman1, Maureen K O'Connor1,2, Whitney Rockefeller3, Peter Morin4, Lauren R Moo4,5. 1. Edith Nourse Rogers Memorial Veterans Hospital, Department of Psychology, Bedford, Massachusetts, USA. 2. Boston University School of Medicine, Department of Neurology, Boston, Massachusetts, USA. 3. Department of Veterans Affairs Office of Healthcare Transformation, Washington, District of Columbia, USA. 4. Department of Veterans Affairs, Geriatric Research Education and Clinical Center, Bedford, Massachusetts, USA. 5. Harvard Medical School, Department of Neurology, Cambridge, Massachusetts, USA.
Abstract
Objectives: This pilot project aimed to explore a new model of healthcare delivery to older adult medically complex Veterans by combining telehealth technology with an interdisciplinary medical team operating in real time. Methods: The Geriatric-Interdisciplinary Mobile Patient Access Team (G-IMPACT) was comprised of a field team including a nurse practitioner and technology assistant who visited enrolled patients in their homes using synchronous video to link to a suite of geriatric specialists in a video-enabled room at a Veterans Affairs hospital. Clinicians interacted with patients, caregivers, and each other to develop mutually agreed upon treatment plans that were then immediately implemented in the field. Results: 11 total visits were conducted with 9 Veteran patients aged 55-91 (mean = 75.3 years). Both patients and clinicians reported a high level of satisfaction across multiple metrics, including visit quality, and positive indirect indicators of effectiveness were apparent from qualitative data.Conclusions: Nurse practitioner facilitated video visits allowed geriatric patients to meet with multiple specialists simultaneously with both high patient satisfaction and increased real-time care coordination.Clinical Implications: This project identified challenges and opportunities afforded by this type of real-time telehealth care delivery and can inform the development of future interdisciplinary mobile medical teams.
Objectives: This pilot project aimed to explore a new model of healthcare delivery to older adult medically complex Veterans by combining telehealth technology with an interdisciplinary medical team operating in real time. Methods: The Geriatric-Interdisciplinary Mobile Patient Access Team (G-IMPACT) was comprised of a field team including a nurse practitioner and technology assistant who visited enrolled patients in their homes using synchronous video to link to a suite of geriatric specialists in a video-enabled room at a Veterans Affairs hospital. Clinicians interacted with patients, caregivers, and each other to develop mutually agreed upon treatment plans that were then immediately implemented in the field. Results: 11 total visits were conducted with 9 Veteran patients aged 55-91 (mean = 75.3 years). Both patients and clinicians reported a high level of satisfaction across multiple metrics, including visit quality, and positive indirect indicators of effectiveness were apparent from qualitative data.Conclusions: Nurse practitioner facilitated video visits allowed geriatric patients to meet with multiple specialists simultaneously with both high patient satisfaction and increased real-time care coordination.Clinical Implications: This project identified challenges and opportunities afforded by this type of real-time telehealth care delivery and can inform the development of future interdisciplinary mobile medical teams.
Entities:
Keywords:
Telehealth; aging; care coordination; home care; interdisciplinary; medicine; older adult; video
Authors: Alexander A Hanke; Thorben Sundermeier; Hedwig T Boeck; Elisabeth Schieffer; Johanna Boyen; Ana Céline Braun; Simone Rolff; Lothar Stein; Momme Kück; Mario Schiffer; Lars Pape; Martina de Zwaan; Sven Haufe; Arno Kerling; Uwe Tegtbur; Mariel Nöhre Journal: Int J Environ Res Public Health Date: 2020-12-07 Impact factor: 3.390
Authors: Christopher Dowd; Aricca D Van Citters; Olivia Dieni; Anne Willis; Leslie Powell; Kathryn A Sabadosa Journal: J Cyst Fibros Date: 2021-12 Impact factor: 5.482
Authors: Chelsea E Hawley; Nicole Genovese; Montgomery T Owsiany; Laura K Triantafylidis; Lauren R Moo; Amy M Linsky; Jennifer L Sullivan; Julie M Paik Journal: J Am Geriatr Soc Date: 2020-10-04 Impact factor: 7.538